Healthcare Provider Details

I. General information

NPI: 1992753164
Provider Name (Legal Business Name): STEVEN M. BROWN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HOLCOMB ST
HARTFORD CT
06112-1529
US

IV. Provider business mailing address

120 HOLCOMB ST
HARTFORD CT
06112-1529
US

V. Phone/Fax

Practice location:
  • Phone: 860-243-4416
  • Fax: 860-826-1739
Mailing address:
  • Phone: 860-243-4416
  • Fax: 860-826-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberCT 2305
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: